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Images in paediatrics
‘Coal miner's ankle’ in a child: bilateral malleolar bursitis
  1. William Hywel Bermingham1,
  2. Robert Edward Klaber2
  1. 1School of Medicine, Imperial College London, London, UK
  2. 2Department of Paediatrics, Imperial College Healthcare NHS Trust, London, UK
  1. Correspondence to Dr Robert Edward Klaber, Department of Paediatrics, Imperial College Healthcare NHS Trust, St Mary's Hospital, Praed Street, 6-10 The Bays Building, Off South Wharf Road, London W2 1NY, UK; bobklaber{at}, robert.klaber{at}

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A systemically well 11-year-old girl presented with a long history of bilateral ankle swelling (figure 1). Palpation revealed soft, well circumscribed masses anterior to each of the lateral malleoli, accompanied by smaller swellings over the fifth metatarsal heads. Gait and range of movement were unaffected. Investigations were largely unremarkable, but ultrasound of the …

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  • Contributors WHB drafted and revised the paper. REK was the clinical lead and drafted and revised the paper.

  • Competing interest None.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.